Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.81 / $86.40 / $189.73	Facility	26	$77.81	$86.40	$189.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $253.18 / $322.92	Professional		$138.79	$253.18	$322.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $77.83 / $189.72	Professional	26	$56.82	$77.83	$189.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.65 / $133.18 / $232.83	Professional	TC	$60.65	$133.18	$232.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.80 / $94.19 / $210.25	Professional	26	$74.80	$94.19	$210.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.00 / $578.00 / $578.00	Professional		$578.00	$578.00	$578.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.71 / $294.25 / $602.37	Professional		$134.71	$294.25	$602.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $104.30 / $164.20	Professional	26	$64.95	$104.30	$164.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.77 / $164.76 / $499.23	Professional	TC	$57.77	$164.76	$499.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $128.72	Professional		$32.34	$32.34	$128.72
United Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $214.53 / $555.62	Professional		$160.31	$214.53	$555.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.99 / $102.69 / $167.56	Professional	26	$54.99	$102.69	$167.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.65 / $112.67 / $480.62	Professional	TC	$68.65	$112.67	$480.62